Dr. Dahiya describes the LAP-BAND® and sleeve gastrectomy bariatric surgeries.
LAP-BAND® is, in the technical terms, restrictive. What it means in layperson, again, is that it’s going to limit how much I can eat at one time. We are putting sort of like a noose, in the simplest term, at the very upper part of the stomach where again, I am making not like a syringe, but it’s going to be a pouch kind of like this, and it’s adjustable as far as the opening goes. So it’s controlled emptying from there and a small pouch again. So, it forces me to eat less amount. I feel full, I stop, and when slowly empties, then again, I eat. There’s no cutting. The route of the food is not changed. It’s not bypassed; it remains the same.
Sleeve is a newer procedure coming out, and there are several reasons that it’s good for somebody who is extremely high risk or somebody who might have other risks where we don’t want to take any risk at all of the vitamins or any medication not being absorbed.
What I personally may do it is that, you know, I make a tube of the stomach. Sometime we take out rest of the most of the stomach, sometime I just leave it, but basically it’s a tube. Again, there’s no bypass of the route of the food. Food goes the same way, goes into the stomach, and goes the same way, but as opposed to being, like, you know, this big, it’s just a sleeve, but it opens the same natural passage same way, and again, it forces you to eat smaller amounts. You lose weight.
Sometime it comes out as a staging procedure also. If you are, let’s say, one gentleman I had, the weight was so much, he also had congestive failure, heart trouble. So, bypass would have been too much of a procedure so sleeve fitted him well. So there are some special indications for it.
About Dr. Dahiya, M.D.:
Leading a multi-disciplinary team of experts at Doctor Bariatric is board-certified Shyam L. Dahiya, M.D. who brings more than 20 years of experience in general and trauma surgery. As a general and laparoscopic surgeon, Dr. Dahiya has performed numerous innovative bariatric surgeries including the Laparoscopic Bariatric Surgery.